Individual
CAROLINE PRUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
108 W 39TH ST RM 1601, NEW YORK, NY 10018-8350
(646) 559-4659
Mailing address
152 ORCHARD ST APT 4B, NEW YORK, NY 10002-2712
(860) 777-5673
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309325
NY
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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